Organization
DENTAL LOFT - THE LOOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KILEY HIRONS DDS (CO-OWNER)
(708) 482-0702
Entity
Organization
Contact information
Practice address
111 W WASHINGTON ST, SUITE 1350, CHICAGO, IL 60602-2703
(708) 482-0702
Mailing address
1 W HARRIS AVE STE 2A, LA GRANGE, IL 60525-2497
(708) 482-0702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027663
IL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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